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Veterinary ophthalmology2013; 17(2); 120-125; doi: 10.1111/vop.12055

The effect of 1% tropicamide-induced mydriasis and cycloplegia on spherical refraction of the adult horse.

Abstract: To determine the effects of tropicamide 1% on the refractive state of the adult equine globe and identify the most appropriate time period (in relation to mydriasis) to perform streak retinoscopy. Methods: Eight university-owned mares of various ages and breeds. Methods: Topical tropicamide 1% was applied to one randomly selected eye from each of the horses to induce mydriasis and cycloplegia. The contralateral eyes served as controls. Streak retinoscopy and pupillometry were performed prior to, and every 5 min after tropicamide 1% installation for 90 min. Results: All values are expressed as mean ± SD. Both horizontal (2.8 ± 0.74 mm) and vertical (7.3 ± 1.29 mm) mean pupil diameters increased significantly (P < 0.04) in the treatment eyes compared with the control eyes (horizontal [0.48 ± 0.85 mm] and vertical [1.06 ± 1.31 mm] pupil diameter). No significant differences in the refractive states of the treatment (horizontal: +0.25 ± 0.43 D and vertical: +0.41 ± 0.37 D) or control (horizontal: +0.34 ± 0.39 D and vertical: +0.41 ± 0.37 D) eyes were identified at any time point. Three of the eight treatment eyes demonstrated blurry or reversing streak reflexes during streak retinoscopy evaluation following the application of topical tropicamide 1%. Conclusions: While these reflexes did not significantly influence streak retinoscopy results, their presence may subjectively influence a novice retinoscopist's ability to obtain accurate results. Therefore, optimal streak retinoscopy results may be obtained prior to, or 40- to 45-min following the application of topical tropicamide 1%, once near-maximal dilation has been achieved.
Publication Date: 2013-05-06 PubMed ID: 23647634DOI: 10.1111/vop.12055Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article

Summary

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The research investigates the impacts of a drug called 1% Tropicamide on the refractive state of adult horse’s eye, along with determining the best timing for retinoscopy relative to mydriasis (pupil dilation). The study reveals increases in pupil sizes but doesn’t note any significant changes in refractive states. Though some unusual reflexes were observed which could potentially affect the accuracy of results by inexperienced retinoscopists, achieving near-maximal dilation 40-45 minutes post-application seems advantageous.

Experiment Overview

  • The research involved eight university-owned mares of varying ages and breeds. One of each horse’s eyes was randomly selected for the application of 1% Tropicamide, triggering mydriasis (dilation of the pupil) and cycloplegia (paralysis of the eye muscle). The other eye was used as a control.
  • Streak retinoscopy and pupillometry, methods of measuring the refractive errors and the diameter of the eyes respectively, were carried out before and after every 5 minutes for 90 minutes.

Results”

  • The results documented that the mean pupil diameters, both horizontal and vertical, increased significantly in the eyes where 1% Tropicamide was applied as opposed to the control eyes.
  • However, no significant variation was noted in the refractive states of the treatment or control eyes at any time point.
  • Three out of the eight treatment eyes displayed unusual streak reflexes following the application of the drug. While these reflexes didn’t crucially affect the retinoscopy results, presence of such reflexes might subjectively impact a novice retinoscopist’s ability to get accurate results.

Conclusions”

  • The study suggests that regardless of the observed reflexes, optimal streak retinoscopy results can be achieved by performing the test prior to, or 40 to 45 minutes after the application of 1% Tropicamide when near-maximal pupil dilation is reached.

Cite This Article

APA
McMullen RJ, Davidson MG, Gilger BC. (2013). The effect of 1% tropicamide-induced mydriasis and cycloplegia on spherical refraction of the adult horse. Vet Ophthalmol, 17(2), 120-125. https://doi.org/10.1111/vop.12055

Publication

ISSN: 1463-5224
NlmUniqueID: 100887377
Country: England
Language: English
Volume: 17
Issue: 2
Pages: 120-125

Researcher Affiliations

McMullen, Richard J
  • Department of Clinical Sciences, North Carolina State University, Raleigh, NC, USA.
Davidson, Michael G
    Gilger, Brian C

      MeSH Terms

      • Animals
      • Eye / drug effects
      • Female
      • Horses
      • Muscarinic Antagonists / administration & dosage
      • Muscarinic Antagonists / pharmacology
      • Mydriasis / chemically induced
      • Mydriasis / veterinary
      • Tropicamide / administration & dosage
      • Tropicamide / pharmacology

      Citations

      This article has been cited 2 times.
      1. Meister U, Görig C, Murphy CJ, Haan H, Ohnesorge B, Boevé MH. Intraocular lens power calculation for the equine eye.. BMC Vet Res 2018 Apr 3;14(1):123.
        doi: 10.1186/s12917-018-1448-6pubmed: 29615113google scholar: lookup
      2. Johansson MK, Jäderkvist Fegraeus K, Lindgren G, Ekesten B. The refractive state of the eye in Icelandic horses with the Silver mutation.. BMC Vet Res 2017 Jun 2;13(1):153.
        doi: 10.1186/s12917-017-1059-7pubmed: 28577553google scholar: lookup